PAUL CHANG (NPI# 1609024249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609024249 |
Entity Type | Individual |
Full Name | PAUL CHANG |
Credential | MD |
Practice Address |
1365 Rock Quarry Rd Suite 301 Stockbridge GA 30281-5029 |
Practice Telephone | 7707716580 |
Practice Fax Number | 7707716589 |
Mailing Telephone | 7707716580 |
Mailing Fax Number | 7707716589 |
Enumeration Date | 2008-09-08 |
Last Update Date | 2019-12-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
70460 | GA | Allopathic & Osteopathic Physicians |
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
46950 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | PTAN | 103I250250 | 01 |
GA | CAQH | 12225012 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982027405 | Paul Chang | Internal Medicine | 3750 Morrison Way, Doylestown, PA 18902-1597 | 2014-02-04 |
1548445711 | Paul Peng Chang | Dentist | 321 N Central Expy Ste 102, Mckinney, TX 75070-3544 | 2008-01-07 |
1447399787 | Paul Chang | Physical Therapist | 2133 Nw 13th St, Blue Springs, MO 64015-7734 | 2007-02-05 |
1245217496 | Paul Andrew Chang | Internal Medicine | 2558 W 4th St, Ontario, OH 44906-1209 | 2005-12-29 |
1023539772 | Paul Chang | Dentist | Lincoln St Bldg 9900, Tacoma, WA 98431-0001 | 2017-07-03 |
1669924890 | Paul Becksan Chang | Physical Therapist | 23430 Hawthorne Blvd Ste 105, Torrance, CA 90505-4777 | 2016-11-04 |
1396197612 | Paul Chang | Social Worker | 1250 Broadway, 22nd Fl, New York, NY 10001-3701 | 2016-07-11 |
1760775613 | Paul Chang | Social Worker | 480 Manor Plz, Pacifica, CA 94044-1839 | 2011-05-25 |
1356573331 | Paul Yantzi Chang | Physical Therapist | 250 G St, Blaine, WA 98230-4019 | 2009-08-10 |
1619104460 | Paul Inho Chang | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2009-06-19 |
Street Address |
1365 ROCK QUARRY RD SUITE 301 |
City | STOCKBRIDGE |
State | GA |
Zip Code | 30281-5029 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952300279 | Steven Michael Rosenthal | Internal Medicine | 1365 Rock Quarry Rd, Suite 302, Stockbridge, GA 30281-5029 | 2005-07-19 |
1134781685 | Kalene Camille Gutman | Audiologist | 1365 Rock Quarry Rd, Ste 300, Stockbridge, GA 30281-5024 | 2019-07-05 |
1710489018 | Eric Andrew Dennin | Nurse Practitioner | 1365 Rock Quarry Rd, Stockbridge, GA 30281-5029 | 2018-03-02 |
1144769670 | Joseph Paul Coviello | Physical Therapist | 1365 Rock Quarry Rd, Suite 200, Stockbridge, GA 30281-5029 | 2017-02-16 |
1174909287 | Pain Care, LLC | Nurse Practitioner | 1365 Rock Quarry Rd, Suite 202, Stockbridge, GA 30281-5029 | 2015-07-31 |
1346688124 | Piedmont Nephrology and Internal Medicine, LLC | Internal Medicine | 1365 Rock Quarry Rd, Suite 100, Stockbridge, GA 30281-5029 | 2013-06-13 |
1629350566 | Oracle Anesthesia of Georgia LLC | Nurse Anesthetist, Certified Registered | 1365 Rock Quarry Rd, Suite 301, Stockbridge, GA 30281-5029 | 2011-09-16 |
1962783639 | Funlola M Gaddis | Nurse Practitioner | 1365 Rock Quarry Rd, Suite 301, Stockbridge, GA 30281-5029 | 2011-09-07 |
1619294295 | Freebie Ovwe Ukpede | Radiologic Technologist | 1365 Rock Quarry Rd, Suite 102, Stockbridge, GA 30281-5029 | 2010-04-22 |
1467780379 | Onyx Imaging, LLC | Radiology | 1365 Rock Quarry Rd, Suite 101, Stockbridge, GA 30281-5029 | 2009-12-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
Find all providers in zip 30281 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518223411 | Akshay Garg | Physical Medicine & Rehabilitation | 1365 Rock Quarry Rd Ste 202, Stockbridge, GA 30281-5023 | 2012-04-04 |
1255331674 | George Kevin Perdue | Physical Medicine & Rehabilitation | 1240 Eagles Landing Pkwy, Suite 300, Stockbridge, GA 30281 | 2005-07-28 |
1225355993 | Paul King White | Physical Medicine & Rehabilitation | 165 N Park Trl Ste 100, Stockbridge, GA 30281-6509 | 2010-04-21 |
1235163221 | Pain Management and Rehabilitation Inc. | Physical Medicine & Rehabilitation | 245 Village Center Pkwy, # 130, Stockbridge, GA 30281-9096 | 2006-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700490091 | Interventional and Alternative Spine and Wellness, LLC | Physical Medicine & Rehabilitation | 3630 Wheeler Rd, Augusta, GA 30909-6561 | 2020-09-03 |
1881205151 | Georgia Regenrx, LLC. | Physical Medicine & Rehabilitation | 5755 N Point Pkwy Ste 72, Alpharetta, GA 30022-1146 | 2020-08-11 |
1710514989 | Jennifer Meyer | Physical Medicine & Rehabilitation | 1554 Riverstone Pkwy Ste 160, Canton, GA 30114-2887 | 2020-03-26 |
1982172060 | Back To Life Pain Center, LLC | Physical Medicine & Rehabilitation | 410 Creekstone Rdg, Woodstock, GA 30188-3740 | 2018-11-07 |
1760900708 | Neuro Diagnostic Group LLC | Physical Medicine & Rehabilitation | 200 Galleria Pkwy Se Ste 100, Atlanta, GA 30339-5944 | 2017-08-30 |
1386195378 | Pain Management and Rehabilitation | Physical Medicine & Rehabilitation | 4121 Steve Reynolds Blvd, Norcross, GA 30093-3060 | 2016-10-14 |
1124471172 | Pain Management and Rehabilitation | Physical Medicine & Rehabilitation | 4131 Steve Reynolds Blvd, Norcross, GA 30093-3060 | 2016-07-14 |
1043671761 | Pain Management and Rehabilitation Inc | Physical Medicine & Rehabilitation | 3955 Lawrenceville Hwy Nw, Lilburn, GA 30047-2996 | 2016-03-08 |
1356761191 | Simon Matt Willis | Physical Medicine & Rehabilitation | 114 Canal St Ste 503, Pooler, GA 31322-4261 | 2014-04-20 |
1891139663 | Advanced Pain and Rahabilitation PC | Physical Medicine & Rehabilitation | 3030 Mcever Rd Ste 300, Gainesville, GA 30504-5538 | 2013-04-24 |
Find all providers with the same taxonomy |
City | STOCKBRIDGE |
Zip Code | 30281 |
Please comment or provide details below to improve the information on PAUL CHANG.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.